| NPI | 1598105892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: WV RP0008089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008089) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2017-02-14 |